Supplemental Youth Services Program Report (ETA 9085)

Program Reporting and Performance Standards System for Indian and Native American Programs Under Title I, Section 166 of the Workforce Innovation and Opportunity Act

Documents and Forms

Document Name Document Type
Form ETA-9085 Supplemental Youth Services Program Report (ETA 9085) Form
ETA-9085 INDIAN AND NATIVE AMERICAN YOUTH PROGRAM ANNUAL / SEMI-A ETA Form 9085.pdf Form
ETA-9085 INDIAN AND NATIVE AMERICAN YOUTH PROGRAM ANNUAL / SEMI-A ETA Form 9085 and Instructions.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Supplemental Youth Services Program Report (ETA 9085)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 683.300 20 CFR 684

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ETA-9085	INDIAN AND NATIVE AMERICAN YOUTH PROGRAM ANNUAL / SEMI-ANNUAL REPORT	ETA Form 9085.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	ETA-9085	INDIAN AND NATIVE AMERICAN YOUTH PROGRAM ANNUAL / SEMI-ANNUAL REPORT	ETA Form 9085 and Instructions.pdf		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title: DOL/ETA-15	FR Citation: 67 FR 16898

Number of Respondents: 73	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	146	-178	324
Annual IC Time Burden (Hours)	292	-7,484	7,776
Annual IC Cost Burden (Dollars)	15,085	15,085	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.